(Test Bank) Concepts For Nursing Practice

Giddens, 2

Nursing

Test Bank

2nd Edition

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Test Bank for Concepts For Nursing Practice, The downloadable file consists of 393 pages, and the total size of the file is 2.94 MB. Purchase now only for highly discounted price.

Author(s): Giddens

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PRIMEXAM.COM Concepts for Nursing Practice 2nd Edition Giddens Test Bank Concept 01: Development Giddens: Concepts for Nursing Practice, 2nd Edition MULTIPLE CHOICE 1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to assess for needs related to a. anticipatory guidance. b. low-risk adolescents. c. physic al development. d. sexual development. ANS: A The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which assesses home, education, activities, drugs, sex, and suicide for the purpose of identifying high-risk adolescents and the need for anticipatory guidance. It is used to identify high -risk, not low -risk, adolescents. Physical development is assessed with anthropometric data. Sexual development is assessed using physical examination. REF: Page 8 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance 2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the expected stage of development for a preschooler is a. concrete operational. b. formal operational. c. preoperational. d. sensorimotor. ANS: C The expected stage of development for a preschooler (3 to 4 years old) is pre -operational. Concrete operational describes the thinking of a school -age child (7 to 11 years old). Formal operational describes the thinking of an individual after about 11 y ears of age. Sensorimotor describes the earliest pattern of thinking from birth to 2 years old. REF: Page 6 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance 3. The school nurse talking with a high school class about the difference betwe en growth and development would best describe growth as a. processes by which early cells specialize. b. psychosocial and cognitive changes. c. qualitative changes associated with aging. d. quantitative changes in size or weight. ANS: D Growth is a quantitative change in which an increase in cell number and size results in an increase in overall size or weight of the body or any of its parts. The processes by which early cells specialize are referred to as differentiation. Psychosocial and cognitive changes are referre d to as development. Qualitative changes associated with aging are referred to as maturation. PRIMEXAM.COM REF: Page 2 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance 4. The most appropriate response of the nurse when a mother asks what the Denv er II does is that it a. can diagnose developmental disabilities. b. identifies a need for physical therapy. c. is a developmental screening tool. d. provides a framework for health teaching. ANS: C The Denver II is the most commonly used measure of developmental stat us used by health care professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis requires a thorough neurodevelopment history and physical examination. Developmental delay, which is suggested by screening, is a symptom, n ot a diagnosis. The need for any therapy would be identified with a comprehensive evaluation, not a screening tool. Some providers use the Denver II as a framework for teaching about expected development, but this is not the primary purpose of the tool. REF: Page 7 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance 5. To plan early intervention and care for an infant with Down syndrome, the nurse considers knowledge of other physical development exemplars such as a. cerebral palsy. b. failure to thrive. c. fetal alcohol syndrome. d. hydrocephaly. ANS: D Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of adaptive developmental delay. Failure to thrive is an exemplar of social/emotional developmental delay. Fetal a lcohol syndrome is an exemplar of cognitive developmental delay. REF: Page 10 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance 6. To plan early intervention and care for a child with a developmental delay, the nurse would consider knowl edge of the concepts most significantly impacted by development, including a. culture. b. environment. c. functional status. d. nutrition. ANS: C PRIMEXAM.COM Function is one of the concepts most significantly impacted by development. Others include sensory -perceptual, cognition , mobility, reproduction, and sexuality. Knowledge of these concepts can help the nurse anticipate areas that need to be addressed. Culture is a concept that is considered to significantly affect development; the difference is the concepts that affect deve lopment are those that represent major influencing factors (causes), hence determination of development and would be the focus of preventive interventions. Environment is considered to significantly affect development. Nutrition is considered to significan tly affect development. REF: Page 2 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance 7. A mother complains to the nurse at the pediatric clinic that her 4 -year-old child always talks to her toys and makes up stories. The mother wants he r child to have a psychological evaluation. The nurse’s best initial response is to a. refer the child to a psychologist immediately. b. explain that playing make believe is normal at this age. c. complete a developmental screening using a validated tool. d. separate the child from the mother to get more information. ANS: B By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal at this age. A referral to a psychologist would be premature based only on the complaint of the mother. Completing a developmental screening would be very appropriate but not the initial response. The nurse would certainly want to get more information, but separating the child from the mother is not necessary at this time. REF: Page 6 OBJ: NNCLERX®IClieGnt NBe.edCs CaMtegory: Health Promotion and M aintenance 8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so needy and acting like a child. The best response of the nurse is that in the hospital, adolesc ents a. have separation anxiety. b. rebel against rules. c. regress because of stress. d. want to know everything. ANS: C Regression to an earlier stage of development is a common response to stress. Separation anxiety is most common in infants and toddlers. Rebellion against hospital rules is usually not an issue if the adolescent understands the rules and would not create childlike behaviors. An adolescent may want to “know everything” with their logical thinking and deductive reasoning, but that would not explain wh y they would act like a child. REF: Page 5 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance PRIMEXAM.COM Concept 02: Functional Ability Giddens: Concepts for Nursing Practice, 2nd Edition MULTIPLE CHOICE 1. The nurse is assessing a patient's functional ability. Which patient best demonstrates the definition of functional ability? a. Considers self as a healthy individual; uses cane for stability b. College educated; travels frequently; can balance a checkbook c. Works out daily , reads well, cooks, and cleans house on the weekends d. Healthy individual, volunteers at church, works part time, takes care of family and house ANS: D Functional ability refers to the individual's ability to perform the normal daily activities required to meet basic needs; fulfill usual roles in the family, workplace, and community; and maintain health and well -being. The other options are good; however, healthy individual, church volunteer, part time worker, and the patient who takes care of the family and house fully meets the criteria for functional ability. REF: Page 13 OBJ: NCLEX® Client Needs Category: Physiological Integrity: Basic Care and Comfort 2. The nurse is assessing a patient's functional performance. What assessment parameters will be most important in this assessment? a. Contin ence assessment, gNait RasseIssmGent,Bf.eeCdingMassessment, dressing assessment, transfer assessment b. Height, weight, body mass index (BMI), vital signs assessment c. Sleep assessment, energy assessment, memory assessment, concentration assessment d. Health and well -being, amount of community volunteer time, working outside the home, and ability to care for family and house ANS: A Functional impairment, disability, or handicap refers to varying degrees of an individual's inabil ity to perform the tasks required to complete normal life activities without assistance. Height, weight, BMI, and vital signs are part of a physical assessment. Sleep, energy, memory, and concentration are part of a depression screening. Healthy, volunteer ing, working, and caring for family and house are functional abilities, not performance. REF: Page 13 OBJ: NCLEX® Client Needs Category: Physiological Integrity: Reduction of Risk Potential 3. The nurse is assessing a patient with a mobility dysfunction and wants to gain insight into the patient's functional ability. What question would be the most appropriate? a. "Are you able to shop for yourself?" b. "Do you use a cane, walker, or wheelchair to ambulate?" c. "Do you know what today's date is?" d. "Were you sad or depressed more than once in the last 3 days?" PRIMEXAM.COM ANS: B "Do you use a cane, walker, or wheelchair to ambulate?" will assist the nurse in determining the patient's ability to perform self -care activities. A nutritional health risk assessment is not the functio nal assessment. Knowing the date is part of a mental status exam. Assessing sadness is a question to ask in the depression screening. REF: Page 14 OBJ: NCLEX® Client Needs Category: Physiological Integrity: Physiological Adaptation 4. The nurse is developin g an interdisciplinary plan of care using the Roper -Logan -Tierney Model of Nursing for a patient who is currently unconscious. Which interventions would be most critical to developing a plan of care for this patient? a. Eating and drinking, personal cleansing and dressing, working and playing b. Toileting, transferring, dressing, and bathing activities c. Sleeping, expressing sexuality, socializing with peers d. Maintaining a safe environment, breathing, maintaining temperature ANS: D The most critical aspects of care for an unconscious patient are safe environment, breathing, and temperature. Eating and drinking are contraindicated in unconscious patients. Toileting, transferring, dressing, and bathing activities are BADLs. Sleeping, expressing sexuality, and socializi ng with peers are a part of the Roper -Logan -Tierney Model of Nursing; however, these are not the most critical for developing the plan of care in an unconscious patient. REF: Page 14 OBJ: NCLEX® Client Needs Category: Physiological Integrity: Physiologica l Adaptation 5. The home care nurse is tryingNtUoRdeSteIrmNGinTe tBh.e nCeOceMssary services for a 65-year-old patient who was admitted to the home care service after left knee replacement. Which tool is the best for the nurse to utilize? a. Minimum Data Set (MDS) b. Functional Status Scale (FSS) c. 24-Hour Functional Ability Questionnaire (24hFAQ) d. The Edmonton Functional Assessment Tool ANS: C The 24hFAQ assesses the postoperative patient in the home setting. The MDS is for nursing home patients. The FSS is for child ren. The Edmonton is for cancer patients. REF: Page 16 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance 6. The nurse is assessing a patient's functional abilities and asks the patient, "How would you rate your ability to prepare a balan ced meal?" "How would you rate your ability to balance a checkbook?" "How would you rate your ability to keep track of your appointments?" Which tool would be indicated for the best results of this patient's perception of their abilities? a. Functional Activi ties Questionnaire (FAQ)™ b. Mini Mental Status Exam (MMSE) c. 24hFAQ d. Performance -based functional measurement ANS: A PRIMEXAM.COM The FAQ is an example of a self -report tool which provides information about the patient's perception of functional ability. The MMSE assesses cognitive impairment. The 24hFAQ is used to assess functional ability in postoperative patients. Performance -based tools involve actual observation of a standardized task, completion of which is judged by objective criteria. REF: Page 16 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance MULTIPLE RESPONSE 1. A 65 -year-old female patient has been admitted to the medical/surgical unit. The nurse is assessing the patient's risk for falls so that falls prevention can be implemented if necess ary. Select all the risk factors that apply from this patient's history and physical. ( Select all that apply. ) a. Being a woman b. Taking more than six medications c. Having hypertension d. Having cataracts e. Muscle strength 3/5 bilaterally f. Incontinence ANS: B, D, E, F Adverse effects of medications can contribute to falls. Cataracts impair vision, which is a risk factor for falls. Poor muscle strength is a risk factor for falls. Incontinence of urine or stool increases risk for falls. Men have a higher risk for falls. H ypertension itself does not contribute to falls. Taking medications to treat hypertension that may lead to hypotension and dizziness is a fall risk. Dizziness does contribute to falls. REF: Page 15 OBJ: NCLEX® Client Needs Category: Physiological Integrit y: Reduction of Risk Potential MATCHING Match the activities listed with the appropriate functional level of ability: a. for instrumental activities of daily living (IADLs) b. for basic activities of daily living (BADLs) 1. Uses a cane 2. Bathes daily 3. Takes medicati ons as prescribed 4. Dresses self 5. Balances the checkbook 6. Cleans the house 1. ANS: B REF: Page 14 | Page 15 OBJ: NCLEX® Client Needs Category: Physiological Integrity: Reduction of Risk Potential 2. ANS: B REF: Page 14 | Page 15 OBJ: NCLEX® Client Needs Category: Physiological Integrity: Reduction of Risk Potential 3. ANS: A REF: Page 14 | Page 15 OBJ: NCLEX® Client Needs Category: Physiological Integrity: Reduction of Risk Potential 4. ANS: B REF: Page 14 | Page 15 PRIMEXAM.COM OBJ: NCLEX® Client Needs Category: Physiological Integrity: Reduction of Risk Potential 5. ANS: A REF: Page 14 | Page 15 OBJ: NCLEX® Client Needs Category: Physiological Integrity: Reduction of Risk Potential 6. ANS: A REF: Page 14 | Page 15 OBJ: NCLEX® Client Needs Category: Physiological Integrity: Reduction of Risk Potential PRIMEXAM.COM Concept 03: Family Dynamics Giddens: Concepts for Nursing Practice, 2nd Edition MULTIPLE CHOICE 1. The most appropriate initial nursing intervention when the nurse notes dysfunctional interactions and lack of family support for a patient would be to a. enforce hospital visiting policies. b. monitor the dysfunctional interactions. c. notify the primary care provider. d. role model appropriate support. ANS: D Nurses can, at times, role model more approp riate interactions or provide suggestions for improving communication and interactions among family members. If the nurse determines that the number of visitors has a negative impact on the patient, hospital policy may be to limit visitors, but that would not be the initial action. Monitoring the dysfunctional interactions would not be an adequate response. The primary care provider should certainly be notified, but that would not be the initial response. REF: Page 21 |Page 23 OBJ: NCLEX® Client Needs Category: Psychosocial Integrity 2. The nurse caring for a patient would identify a need for additional interventions related to family dynamics when a. extend ed family of fers toNhelRp. I b. family m embers express coUnceSrn. c. the ill member demands attention. d. memories are shared. ANS: C It is not uncommon for the ill family member to become demanding and indicate that they deserve special treatment and care, and the supportive family may need assistance in understanding the dynamics of the illness in order to con tinue to be supportive. Offers from extended family to help can be indicative of positive dynamics. Concern expressed by family members can be indicative of positive dynamics. Sharing of family memories can be indicative of positive dynamics. REF: Page 24 |Page 25 OBJ: NCLEX® Client Needs Category: Psychosocial Integrity 3. Two women have an established long-term relationship and are attending parenting classes in anticipation of finalizing adoption of a baby. The nurse identifies them as which type of family ? a. Cohabiting b. Nuclear c. Same -sex d. Single parent ANS: C PRIMEXAM.COM This family would be considered a same -sex family. Cohabiting refers to a couple who live together with no legal bond. Nuclear refers to the traditional male and female core family with one or more child ren. Single parent refers to a family with one adult and one or more children. REF: Page 22 OBJ: NCLEX® Client Needs Category: Psychosocial Integrity 4. The nurse identifies the family with a child graduating from college as being in which family life cycle? a. Single young adult leaving home b. New couple joins their families through marriage or living together c. Families with young children d. Launching children and moving on ANS: D The launching children and moving cycle occurs when the children become independent and establish their own home, as when they graduate and begin to establish their own lives, separate from the family of origin. The single young adult leaving home cycle occurs when the "child" establishes their own home away from the family they grew up with. The new couple joins their families through marriage or living together cycle begins when a couple establishes a household separate from the family of origin. The families with young children cycle begins with the addition of a child to the family. REF: Page 23 OBJ: NCLEX® Client Needs Category: Psychosocial Integrity 5. When reviewing the purposes of a family assessment, the nurse educator would identify a need for further teaching if the student responded that family assessment is used to gain an understanding of whi ch aspeNct ofRtheIfamGilyB? .C M a. Development b. Function c. Political views d. Structure ANS: C U S N T O An understanding of the political views of family members is not a primary purpose of a family assessment. A family assessment provides t he nurse with information and an understanding of family dynamics. This is important to nurses for the provision of quality health care. A family assessment provides an understanding of family development, function, and structure. REF: Page 24 OBJ: NCLE X® Client Needs Category: Health Promotion and Maintenance 6. The nurse planning to assess the structure of a family should ask which question? a. "Who lives with you in this home?" b. "Who does the grocery shopping?" c. "Who provides support in your family?" d. "How ol d are the members of your family?" ANS: A PRIMEXAM.COM The structure of the family includes who is in the family and what their relationship is. " Who does the shopping? " would provide information about family functioning. " Who provides support ?" would provide informa tion about family functioning. " How old are the members ?" would provide information about family development. REF: Page 23|Page 24 OBJ: NCLEX® Client Needs Category: Psychosocial Integrity 7. Which factors which would alert the nurse to negative/dysfunction al family dynamics? a. Aging of family members b. Chronic illness of a family member c. Disability of a family member d. Intimate partner violence ANS: D Intimate partner violence is an exemplar of negative/dysfunctional family dynamics. Aging of family members is an exemplar of changes to family dynamics. Chronic illness of a family member is an exemplar of changes to family dynamics. Disability of a family member is an exemplar of changes to family dynamics. REF: Page 23 OBJ: NCLEX® Client Needs Category: Psychoso cial Integrity NURSINGTB.COM PRIMEXAM.COM Concept 04: Culture Giddens: Concepts for Nursing Practice, 2nd Edition MULTIPLE CHOICE 1. The nurse is caring for an older Chinese adult male who is grimacing and appears restless after abdo minal surgery. What is the nurse’s best action? a. Ask the patient if he is anxious about his hospital stay. b. Ask a translator to conduct a FACES pain scale assessment. c. Ask the patient about pain and assess vital signs. d. Ask the patient about any history of depression or anxiety. ANS: C In the Chinese culture, elderly Chinese people believe that they must be stoic about pain and there is a stigma about talking about any mental health problems. The nurse should ask the patient about pain and also assess vital sig ns for physiological signs of pain, since the patient may not admit to any pain. Assuming the patient is depressed or anxious is not the best action when considering individual cultural differences and the risk of pain after major surgery. The registered n urse should never delegate assessment to any unlicensed member of the healthcare team such as a translator. The translator may assist with communication, but the nurse is responsible for the pain assessment. REF: Page 30 OBJ: NCLEX® Client Needs Category: Psychosocial Integrity and Physiological Integrity: Basic Care and Comfort 2. Understanding cultur al differNenUcResSinIhNeGalTthBc.arCe OisMimport ant be cause it will help the nurse to understand the manner in which people decide on obtaining treatments and m edical care. In independent cultures an individual will a. put himself first. b. consult family members for advice. c. ask for a second opinion. d. travel great distances to receive the best care. ANS: A In independent cultures, an individual will put himself first in the case of a life -threatening illness, whereas even in dire circumstances, members of collectivist cultures may still consult other family members for the best course of action. In independent cultures, an individual will not consult with other family me mbers, ask for a second opinion, or travel great distances to receive the best care. REF: Page 30 OBJ: NCLEX® Client Needs Category: Psychosocial Integrity 3. When teaching an Asian patient with newly diagnosed diabetes, the nurse notes the patient noddin g yes to everything that is being said. With a better understanding of cultural interdependence in self -concept, a nurse should immediately a. write everything down for the patient to refer to later. b. prompt further to elicit additional questions or concerns. c. call the recognized elder for this patient. d. call the oldest male relative for help with decision making. PRIMEXAM.COM ANS: B When a nurse provides nutritional education to a patient who is from a culture that values greater power distance, it might appear that the p atient is willing to accept all that the nurse suggests, when further prompting would elicit additional questions or concerns. The patient from a collectivist culture will usually consult family members for a best course of action. It is not acceptable for nurses to take it upon themselves to call the recognized elder or oldest male relative for help with decision making. While writing everything down may be OK for some cultures, with Asian patients it may be best to prompt further to elicit additional ques tions or concerns. REF: Page 34 OBJ: NCLEX® Client Needs Category: Psychosocial Integrity 4. Women who are given the job of caretaker for aging relatives are subject to caregiver strain due to a. feminine attributes. b. unequal gender. c. fixed gender roles. d. femal e inequality. ANS: C In cultures with more fixed gender roles, women are usually given the role of caretaker for aging relatives and may suffer the stresses of caregiver strain. Feminine attributes refers to harmonious relationships, modesty, and taking care of others. Unequal gender refers to roles of males and females being unevenly distributed. Female inequality refers to female gender and roles being less than or unequal to male roles. REF: Page 31 OBJ: NNCLUERXS®ICNlieGnTt NBe.edCs OCaMtegory: Psychosocial Integrity 5. A 60 -year-old Italian immigrant presents for an annual physical. He is counseled about diagnostic testing including laboratory testing, colonoscopy, influenza vaccination, and pneumococcal vaccination. His reply is "If it isn’t broke, do n’t try to fix it." When developing a plan of care, the nurse should consider which cultural orientation for this patient? a. Short term b. Long term c. Leisurely term d. Noncommittal ANS: A Short -term cultural orientation focuses on the present or past and emphasizes quick results. Long -term cultural orientation focuses the future and long-term rewards. Long -term-oriented cultures favor thrift, perseverance, and adopting to changing circumstances. Leisurely term and noncommittal are undefined in cultural orientation. REF: Page 31 OBJ: NCLEX® Client Needs Category: Psychosocial Integrity 6. The emphasis on understanding cultural influence on health care is important because of a. disability entitlements. b. HIPAA requirements. c. increasing global diversity. d. litigious society. PRIMEXAM.COM ANS: C Culture is an essential aspect of health care because of increasing diversity. Disability entitlements refer to defined benefits for eligible mental or physically disabled beneficiaries in relation to housing, employment, and health care. HIPAA r equirements refers to the HIPAA Privacy Rule, which protects the privacy of individually identifiable health information; the HIPAA Security Rule, which sets national standards for the security of electronic protected health information; and the confidenti ality provisions of the Patient Safety Rule, which protect identifiable information being used to analyze patient safety events and improve patient safety. Litigious society refers to excessively ready to go to law or initiate a lawsuit. REF: Page 32 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance 7. What interrelated constructs facilitate a nurse to become culturally competent? a. Cultural diversity, self-awareness, cultural skill, and cultural knowledge b. Cultural desire, self-awareness, cultural knowledge, and cultural identity c. Cultural desire, self-awareness, cultural knowledge, and cultural diversity d. Cultural desire, self-awareness, cultural knowledge, and cultural skill ANS: D The process of cultural competence consists of four interrel ated constructs: cultural desire, self-awareness, cultural knowledge, and cultural skill. Cultural diversity in the context of health care refers to achieving the highest level of health care for all people by addressing societal inequalities and historica l and contemporary injustices. Cultural identity is the norms, values, beliefs, and behaviors of a culture learned through families and group members. REF: Page 32|Page 33 OBJ: NCLEX® Client Needs CUategSory:NPsyTchosociaOl Integrity PRIMEXAM.COM Concept 05: Spirituality Giddens: Concepts for Nursing Practice, 2nd Edition MULTIPLE CHOICE 1. The nurse is assessing a patient's spirituality and observes the patient meditating before any treatments. What is the nurse’s best action? a. Docum ent that the patient is not religious b. Offer the patient a copy of the bible to read c. Arrange for quiet time for the patient as needed d. Limit the time patient can meditate before procedures ANS: C The nurse can best promote the patient’s spirituality practice s by arranging for the patient to be left alone when possible to meditate. Meditation is an exemplar of spirituality, not necessarily of the Christian faith. The bible is most often read by believers in the Christian faith. Meditation does not imply that t he patient is not religious. Time for meditation should not be limited, whenever possible. REF: Page 41 OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment: Health Promotion and Maintenance 2. When conducting a spiritual assessment of a hospitalized patient, the nurse should remain aware of which potential barrier to effective communication? a. Clarifying the meaning oNf a pRatieInt’sGstaBte.mCent M b. Multi -tasking while talkingUto Sthe pNatieTnt O c. Listening to patients’ complete statements d. Discussing patient’s feelings while hospitalized ANS: B Several barriers may result in the nurses’ inability to be totally present and communicate effectively with the patient. First, the nurse may be distracted by other things and may not pay attention to th e patient. Multi -tasking while trying to listen to a patient may be a barrier to effective communication. Second, the nurses may miss the meaning of the patient’s message because of failure to clarify the meaning of a word, a phrase, or a facial expression . Third, the nurse may interject personal feelings and reactions into the patient’s situation rather than allow the patient to explore and discuss his own feelings and reactions. The last barrier occurs when the nurse is busy formulating a response while the patient is still talking. In this instance, the nurse never hears the patient’s message. REF: Page 42 OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment: Psychosocial Integrity 3. A patient uses rosary beads and attends mass once a week. This expression of spirituality is best described with which term? a. Religiosity b. Faith c. Belief d. Authenticity PRIMEXAM.COM U S N T O ANS: A There are a few similar and related terms to spirituality worth mentioning to provide distinction and clarification. Faith, as defined by Dyess, refers to an "evolving pattern of believing, that grounds and guides authentic living and gives meaning in the present moment of inter -relating." Religiosity, another similar term, is an external expression (public or private), in the form of pract icing a belief or faith, whereas spirituality is an internalized spiritual identity (or experiential). Specifically, religiosity is defined as "the adherence to religious dogma or creed, the expression of moral beliefs, and/or the participation in organize d or individual worship, or sacred practices." REF: Page 43 OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment: Psychosocial Integrity 4. When developing a plan of care, the nurse should consider which attribute of the concept of spiritu ality? a. Spirituality is not a well-known universal concept b. Chronic versus acute illnesses affect spirituality c. Convincing patients to pray is a priority intervention d. Referrals may be needed to spiritual counselors ANS: D The attributes of the concept of spir ituality in the context of nursing care are described below.  Spirituality is universal. All individuals, even those who profess no religious belief, are driven to derive meaning and purpose from life.  Illness impacts spirituality in a variety of ways. Som e patients and families will draw closer to God or however they conceive that higher Power to be inNan eRffoIrt toGseeBk.suCppoMrt, healing, and comfo rt. Othe rs may blame and feel anger towards that Higher Power for any illness and misfortune that may have befallen a loved one or their entire family. Still others will be neutral in their spiritual reactions.  There has to be willingness on the part of patient and/or family to share and/or act on spiritual beliefs and practices.  The nurse needs to be aware that specific spiritual beliefs and practices are impacted by family and culture.  The nurse needs to be willing to assess the concept of spirituality in patients and families and based on this ongoing assessment to integrate the spiritual beliefs of patients and families into care.  The nurse needs to be willing to refer the patient or family to a Spiritual Expert i.e. a Minister, Priest, Rabbi, an Imam.  Community based religious organizations can provide supportive care to families and patients and nurses need to be aware of these resources. REF: Page 42 OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment: Psychosocial Integrity MULTIPLE RESPONSE 1. When completing the FICA tool for spiritual assessment, which questions should the nurse ask the patient? ( Select all that apply. )